大都谏郑春寰老先生，为春元时，头痛内热，入夜尤甚，汗出如流，通宵不止，小水短
赤，
舌上黄苔，右胁胀疼。先与桂枝白虎汤一帖，解其内热，敛去浮汗，再与白芥子一钱，栝蒌
仁四钱，枳实、姜黄、黄连各八分，水煎服，外与当归龙荟丸一钱五分下之，而胁痛安。
大参徐天目老夫人，胸膈痞闷，不思饮食，咳嗽多痰，或时恶心，上焦头目俱不清利，
向来
长素。两寸关滑大如豆，两尺沉微，痰火症也。二陈汤加酒芩、薄荷、前胡、枳壳、苍术、
香附、郁金、川芎，调理而安。
张丽川咳嗽多痰，面青，潮热，肌瘦，性躁而多自用，以数考不利，悒悒成疾。又新婚
之后
，饮食不节。脉之右关滑大，余部皆无神气，且粪门已发 疮，溃流脓血。予曰∶此阳病极
而下也。法在不治，果不逾月而亡。
陈仰山先生内人，小产后二月而血大下。白沫如注，五更泄泻，面虚浮，下午身热口渴
，面
色青黄，脉右手豁大近芤，左濡弱。据此，大虚之候，血海尚有瘀血不尽，以致新血不得归
源，稍动气即下如崩。盖脾乃统血之经，虚则不能约束，且面浮食少，脾虚剧矣。急宜温补
，势或可为。人参、白术各二钱，姜炭、粉草各五分，茯苓六分，香附八分，丹参炒过一钱
，水煎服。四帖而泻止。再以人参、白术各二钱，茯芩、丹参、黄 、蒲黄各一钱，姜炭、
泽兰叶、粉草各五分，调理痊愈。
郑春寰老先生，在担任春元（生员）期间，出现头痛伴体内发热，入夜后症状加重，出汗如水流般，整夜不停，小便短少且颜色深红，舌苔发黄，右侧胁肋部胀痛。先用桂枝白虎汤一剂，以解除体内热邪，收敛浮越的汗液；再用白芥子一钱、瓜蒌仁四钱、枳实、姜黄、黄连各八分，水煎服用，同时外用当归龙荟丸一钱五分攻下，胁痛得以缓解。
大参徐天目老夫人，胸膈部位痞塞闷胀，不想进食，咳嗽且痰多，有时恶心，上焦头部和眼睛都不清爽利落，平时一直吃素。两手寸部和关部脉象滑大如豆粒，尺部脉象沉微，这是痰火证。用二陈汤加入酒炒黄芩、薄荷、前胡、枳壳、苍术、香附、郁金、川芎，调理后痊愈。
张丽川咳嗽且痰多，面色发青，有潮热现象，肌肉消瘦，性格急躁且固执己见，因为多次科举考试不利，忧郁而成病。又在新婚之后，饮食不节制。诊其右关脉滑大，其余部位的脉象都缺乏神气，而且肛门已经发生疮疡，溃烂流脓血。我说：这是阳热病极盛而下行至下的表现。按照医法属于不治之症，果然不到一个月就去世了。
陈仰山先生的夫人，小产两个月后出现大量阴道出血。白带白沫如注，五更时分泄泻，面部虚浮，下午身体发热口渴，面色青黄，右手脉象豁大近于芤脉，左手脉象濡弱。据此判断，这是极度虚弱的征候，血海中还有瘀血未排尽，导致新血不能归经，稍微活动气机就会像崩漏一样大量出血。脾是统摄血液的经脉，虚弱则不能约束血液，加上面浮食少，脾虚非常严重。急需温补，或许还能挽回。用人参、白术各二钱，炮姜炭、甘草各五分，茯苓六分，香附八分，丹参炒过一钱，水煎服用。服四帖后腹泻停止。再用的人参、白术各二钱，茯苓、丹参、黄芪、蒲黄各一钱，炮姜炭、泽兰叶、甘草各五分，调理后痊愈。
Mr. Zheng Chunhuan, during his time as a Chunyuan (Shengyuan, a degree holder in the imperial examination system), suffered from headache accompanied by internal heat, which was worse at night. He sweated profusely like flowing water, continuing throughout the night without stopping. His urine was scanty and dark red, with a yellow coating on the tongue, and distending pain in the right hypochondrium. Initially, one dose of Guizhi Baitu Tang (Cinnamon Twig and Gypsum Decoction) was administered to resolve the internal heat and收敛 (astringe) the floating sweat. Subsequently, Baijiezi (Brassicae Semen, White Mustard Seed) 1 qian, Gualou Ren (Trichosanthis Semen, Melon Seed) 4 qian, Zhishi (Aurantii Fructus Immaturus, Immature Bitter Orange), Jianghuang (Curcumae Radix, Turmeric), and Huanglian (Coptidis Rhizoma, Coptis) each 8 fen were decocted in water for oral administration. Additionally, Danggui Longhui Wan (Angelica Sinensis and Gardenia Pill) 1.5 qian was given orally to purge the excess, after which the hypochondriac pain was relieved.
Madam Xu Tianmu, Grand Secretary, experienced stifling oppression in the chest and diaphragm, loss of appetite, cough with copious phlegm, occasional nausea, and a lack of clarity in the upper jiao head and eyes. She had long been a vegetarian. Her pulse at both cun (inch) and guan (bar) positions was slippery and large like beans, while the chi (cubit) positions were deep and faint. This indicated a Phlegm-Fire syndrome. Erchen Tang (Two-Cured Decoction) was modified with Jiuhuangqin (Scutellariae Radix fried with wine), Bohe (Menthae Haplocalycis Herba, Peppermint), Qianhu (Peucedani Radix, Przewalski's Pecan Root), Zhiqiao (Aurantii Fructus, Bitter Orange), Cangzhu (Atractylodis Rhizoma, Atractylodes Lancea), Xiangfu (Cyperi Rhizoma, Cyperus), Yujin (Curcumae Longae Radix, Curcuma Longa), and Chuanxiong (Ligustici Chuanxiong Rhizoma, Szechwan Lovage Root). After regulation, she recovered.
Zhang Lichuan suffered from cough with copious phlegm, a bluish complexion, tidal fever, emaciation, an irritable nature, and stubbornness. Due to repeated failures in the imperial examinations, he fell ill from melancholy. Furthermore, after his recent marriage, his diet was irregular. Palpation revealed a slippery and large pulse at the right guan position, while the remaining parts of the pulse lacked spirit/vitality. Moreover, sores had developed at the anus, ulcerating and discharging pus and blood. I stated: "This is an extreme yang disease descending downward." According to medical principles, it is untreatable. Indeed, he died within less than a month.
Madam Chen Yangshan, Mr. Chen Yangshan's wife, experienced massive vaginal bleeding two months after a miscarriage. Leukorrhea and white foam flowed like a stream, accompanied by dawn diarrhea (wugeng xie xie), facial edema, afternoon fever, thirst, and a bluish-yellow complexion. The right hand pulse was hollow and large, approaching a Kou (empty) pulse, while the left hand pulse was soft and weak. Based on this, it was determined to be a sign of extreme deficiency. There was still stasis in the Blood Sea (Chong and Ren vessels) that had not been fully expelled, causing new blood to fail to return to its source. Any slight movement of qi resulted in bleeding as severe as a uterine hemorrhage (beng lou). The Spleen is the meridian that controls blood; when deficient, it cannot constrain the blood. Coupled with facial edema and poor appetite, the Spleen deficiency was severe. Urgent warming and tonification were required, and recovery might be possible. Renshen (Ginseng Radix, Ginseng) and Baizhu (Atractylodis Macrocephalae Rhizoma, Atractylodes Macrocephala) each 2 qian, Jiangtan (Zingiberis Rhizoma Carbonisatum, Charred Ginger), Fencao (Glycyrrhizae Radix et Rhizoma, Licorice) each 5 fen, Fuling (Poria, Poria Cocos), and Xiangfu each 8 fen, along with Danshen (Salviae Miltiorrhizae Radix et Rhizoma, Salvia) 1 qian (stir-fried), were decocted in water for oral administration. After four doses, the diarrhea stopped. Subsequently, Renshen and Baizhu each 2 qian, Fuling, Danshen, Huangqi (Astragali Radix, Astragalus), and Puhuang (Typhae Pollen, Cattail Pollen) each 1 qian, Jiangtan, Zelan Ye (Lycopus Japonicus Herba, Bugleweed), and Fencao each 5 fen were used for regulation, leading to complete recovery.